DR. Susan S Deblack, O.D.

NPI #1245224179 in Conway, Arkansas

Provider Information

NPI Number: 1245224179
Entity Type: Individual
Name: DR. Susan S Deblack, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 7, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4150 TYLER ST.
Address 2: SUITE 1
City: Conway
State: Arkansas
ZIP Code: 72034
Phone: (501) 329-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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